Agnesian Healthcare Inc

A Medicare group practice based in Fond Du Lac, WI: 22 NPIs enrolled under one PECOS associate control ID (PAC ID 1658289624), with 630 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658289624The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Pharmacy, Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller O
Enrolled in
WI
Enrollments
19
Group size
392 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
101In 23 places

Enrollment records 19

Enrollment IDStateProvider typeNPI
O20250213002665 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1104891746
O20250514001724 WI DME Supplier - Pharmacy 1326013962
O20250513000281 WI DME Supplier - Pharmacy 1962477588
O20250514001076 WI DME Supplier - Pharmacy 1104891746
O20250515000014 WI DME Supplier - Pharmacy 1366417917
O20031104000263 WI Part B Supplier - Clinic/Group Practice 1346228541
O20071108000526 WI Part A Provider - Hospital 1538147749
O20071108000506 WI Part A Provider - Hospital 1346228541
O20100930076285 WI DME Supplier - Multi-Specialty - Physician 1750326203
O20100930025842 WI DME Supplier - Multi-Specialty - Physician 1679516454
O20100930000914 WI DME Supplier - Multi-Specialty - Physician 1922069194
O20100930051207 WI DME Supplier - Multi-Specialty - Physician 1437110988
O20100930058164 WI DME Supplier - Multi-Specialty - Physician 1083676217
O20100930046701 WI DME Supplier - Pharmacy 1114992492
O20100930044660 WI DME Supplier - Multi-Specialty - Physician 1073842571
O20100930066886 WI DME Supplier - Multi-Specialty - Physician 1689610735
O20081219000547 WI Part A Provider - Hospice 1942274717
O20081219000585 WI Part A Provider - Home Health Agency 1861467144
O20120517000103 WI DME Supplier - Multi-Specialty - Physician 1316212954

NPIs in this group 22

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 630

Page 1 of 7

Clinicians who reassign their Medicare benefits to this group (629) or whom Care Compare lists as members (392).

Sources for this page